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Night Shift Day Shift Beds 37 Planned RN's on Duty Actual RN's on Duty 7 3 Actual Planned HCA's on HCA's on Duty Duty 4 7 Planned Actual RN Planned RN Hrs Hrs HCA Hrs 76.5 38 46 Actual HCA Hrs 80.5 Planned Planned Actual RN RN to Staff to to Bed Bed Bed 1:6 1 : 11 1:3 Actual Staff to Bed 1:4 Professional Planned RN's Actual RN's Judgement on Duty on Duty Rag Rating A 6 Rag Rating Planned Supervisory 7 (37.5 hrs) Team Leader (7.5hrs Mon-Fri) Heronsgate/ Registered Nurses Healthcare Assistants Gade Supernumerary Trained Supernumerary Untrained Students Early or Late (7.5hrs) Bank & Agency on Shift Actual LD Night (11.5hrs) (11.5hrs) 69 Early or Late (7.5hrs) Professional Judgement Rag Rating Comments/Actions taken LD Night (11.5hrs) (11.5hrs) Early or Late LD Night 0 7 5 Day Night 1 1 6 4 2 69 Information & Guidance Red - Staffing levels inadequate to cope with current patient needs Staff 2 Actual HCA's Planned RN Actual RN Planned on Duty Hrs Hrs HCA Hrs The ward is more likely to be unsafe if the number of staff on duty cannot safely complete the care needs below: • Observations (especially post op NEWS and "Specials") • Meals and feeding of patients • Hydration of patients (drinks and IV or NG fluids) • Pressure Area Care • Drug administration and oxygen therapy • Staff can take their statutory rest breaks Green - Staffing numbers are as expected on the rota and ward is assessed as being safely staffed taking into consideration workload and patient acuity. Staffing numbers are not as expected but safe according to current workload Amber - Staffing numbers are not as expected and minor adjustments need to be made to bring staffing to a reasonable level given workload and acuity. Or staffing numbers are as expected but given workload and acuity additional staff are required Area 6 Planned HCA's on Duty 6 2 2 2 7 6 2 A A 2 rn shifts not filled by agency. 2 rn on long day, 1 rn early, 1 rn late. 3 extra hca booked to support. Night shift only 1` substantive staff nurse. Will ensure agency has nurse in charge competency. Specials Trained Day Night Specials Untrained Day Night 23 Actual Planned Actual RN HCA Hrs RN to Bed to Bed 23 1:6 1:6 Planned Staff to Bed Actual Staff to Bed Professio nal Judgemen t Rag 1:5 1:5 A